Health Literacy of Adolescents

Caldwell, Elizabeth Perry; Melton, Karen K.

doi:10.1016/j.pedn.2020.08.020

Cited by 26 publications

(27 citation statements)

References 16 publications

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“…As previously noted, all adolescents with SCD in this study (N = 134) were Black and non-Hispanic; thus, race and/or ethnicity were not evaluated as potential influencing factors of health literacy of adolescents with SCD. However, evidence from other studies indicate that race is a significant influencing factor of health literacy in general adolescent populations, with non-white adolescents demonstrating lower health literacy than white adolescents (Caldwell & Melton, 2020;Manganello & Sojka, 2016). Our results demonstrate congruent findings to these studies.…”

Section: Compare Previous Best Evidencesupporting

confidence: 87%

The health literacy disparity in adolescents with sickle cell disease

Caldwell

Killingsworth

2021

Specialist Pediatric Nursing

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Purpose: There are over 100,000 individuals with sickle cell disease (SCD) in the United States, most of whom are Black, poor, and publically insured. In combination with a chronic illness, these demographics lead to significant barriers to healthcare for patients with SCD, leaving them exceptionally vulnerable within the healthcare system. This unique vulnerability is especially notable when transitioning adolescents with SCD from pediatric to adult care, as this is a significant time of morbidity and mortality for these patients. It is postulated that health literacy influences transition from pediatric to adult care in adolescents with SCD. To better understand this relationship, more adolescent health literacy research must be conducted with both adolescents with and without SCD.Therefore, the purpose of this study is to systematically compare health literacy in adolescents with and without SCD.Design and Methods: This is a cross-sectional, descriptive, exploratory study. One hundred and thirty-four adolescents with SCD and 105 adolescents without SCD were recruited for this study. The Newest Vital Sign (NVS) health literacy instrument was used to evaluate health literacy. Pearson correlations were conducted to evaluate relationships among health literacy and the influencing factors of age, grade level, income, and parental education level. Differences in NVS scores between groups were assessed using independent samples t tests.Results: There was a significant relationship between health literacy, age (r = .286, p < .01) and grade level (r = .317, p = .00) in adolescents with SCD. In adolescents without SCD, there was a significant relationship between health literacy, income (r = .235; p < .05) and parental education (r = .263; p < .01). The mean NVS score was 2.66 for adolescents with SCD and 3.77 for adolescents without SCD. A statistically significant difference in NVS scores was found between groups (t = 4.772; p < .001). Adolescents with SCD demonstrated significantly lower NVS scores than adolescents without SCD.Practice Implications: There are significant differences in health literacy scores and influencing factors in adolescents with and without SCD. Thus, this article provides unique insight for nurses as they design, implement and evaluate health promotion, patient education, and future research initiatives for adolescents and families, both with and without SCD. Further research is needed to gain more insight into this phenomenon.

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Section: Compare Previous Best Evidencesupporting

confidence: 87%

The health literacy disparity in adolescents with sickle cell disease

Caldwell

Killingsworth

2021

Specialist Pediatric Nursing

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“…Following the literature, it could be explained by the fact that girls are more interested in education in general [39], succeed better in schools [40], and are often better educated in adulthood [8,14,41] The association with age was only observed in Poland, where older children achieved better HL levels. This difference was also found in previous research by Paakari et al where the HL level was lower for boys than for girls, and lower for 7th graders than for 9th graders [42,43] This is an interesting area for further research because in literature this relationship is not widely confirmed-the results where age does not affect the HL level of adolescents are in the majority [44,45].…”

Section: Discussionsupporting

confidence: 69%

Adolescent Health Literacy and Neighbourhood Features: HBSC Findings from Czech Republic, Poland, and Slovakia

Kleszczewska¹,

Porwit

Boberová

et al. 2021

IJERPH

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The role of supportive environments on health, wellbeing, and longevity has been widely recognized. However, there is no strong empirical evidence on the association between health literacy (HL) as a particular health-related competence and neighbourhoods. Therefore, the aim of the study was to assess the association between the features of neighbourhoods and the level of HL competencies of young people from three countries (Czech Republic, Poland, Slovakia). Self-reported data from an international sample of 11,521 students aged 13–15 years participating in the Health Behaviour in School-aged Children Study (HBSC) in the year 2018 were included in the analyses. The level of HL shows a strong positive relationship with family wealth, and a significant relationship is maintained in all studied countries. Both social and structural features of neighbourhoods turned out to have an impact on students’ HL. However, HL is most clearly explained by the school environment. This study confirms the school effect on higher levels of HL competences in adolescents. This indicates the need to invest in schools located in less affluent areas to generally improve the level of education, implement modern health education combined with HL, and strengthen the social and health competencies of students.

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“…This previous literature found that age, current grade level, and income play an influencing role on the health literacy of adolescents with SCD (Caldwell, 2019; Perry et al, 2017). There was, however, no relationship between adolescent health literacy and (1) caregiver health literacy or (2) the presence of neurologic deficits in the previously evaluated samples (Caldwell & Melton, 2020; Perry et al, 2017). Thus, it is important to evaluate other facilitators and barriers to the health literacy of adolescents with SCD.…”

Section: Introductionmentioning

confidence: 63%

“…Several recent studies have evaluated some of the influencing factors on the health literacy of adolescents with SCD (Caldwell, 2019; Caldwell & Melton, 2020; Perry et al, 2017). This previous literature found that age, current grade level, and income play an influencing role on the health literacy of adolescents with SCD (Caldwell, 2019; Perry et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

The Influence of Health-Seeking Behaviors on the Health Literacy of Adolescents With Sickle Cell Disease

Caldwell

Rosonet

2021

J Pediatr Oncol Nurs

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Background: Health literacy may influence the transition from pediatric care to adult care in adolescents with sickle cell disease (SCD). It is postulated that one influencing factor of health literacy in adolescents with SCD is health-seeking behavior. The purpose of this study was twofold: (1) to explore health-seeking behaviors of adolescents with SCD and (2) to determine if there are significant differences in health literacy levels of adolescents with SCD based upon health-seeking behaviors. Methods: This was a cross-sectional, descriptive study evaluating health-seeking behaviors and health literacy in 110 Black and non-Hispanic adolescents with SCD. Convenience sampling was utilized for recruitment. The inclusion criteria were a diagnosis of one of the four primary genotypes of SCD and age of 10-19 years. Health literacy was evaluated using the Newest Vital Sign (NVS). Frequencies and percentages were calculated for all variables. Independent Samples t-tests were conducted to evaluate differences in health literacy scores based upon differing health-seeking behaviors. Results: The mean age of participants was 14.8 years ( SD = 2.2). The mean NVS score was 2.7 ( SD = 1.6). The two most common responses to “where do you go FIRST for health information?” were the Internet (29.6%; n = 40) and health care providers (27.4%; n = 37). There was no statistical difference in NVS scores between adolescents using the Internet versus health care providers as their first source of health information ( t[75] = − .12; p = .22). Discussion: Knowledge of health-seeking behaviors and health literacy in adolescents with SCD gives insight into the design and evaluation of future interventions to improve health and health literacy in this population.

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Health Literacy of Adolescents

Cited by 26 publications

References 16 publications

The health literacy disparity in adolescents with sickle cell disease

The health literacy disparity in adolescents with sickle cell disease

Adolescent Health Literacy and Neighbourhood Features: HBSC Findings from Czech Republic, Poland, and Slovakia

The Influence of Health-Seeking Behaviors on the Health Literacy of Adolescents With Sickle Cell Disease

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